Backfill Signature Page.pdf

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Attached to
Planned Residential Backfill and Site Finalization 13812 Glenwood &14102 Seymour
Solicitation number
300000151772833
Issued by
Michigan

About this file

This is a Backfill Signature Page for a City of Detroit procurement related to planned residential backfill and site finalization at two properties: 13812 Glenwood and 14102 Seymour. The document serves as the signature and attestation page for contractors submitting bids for this project. Bidders are required to attest that their organization has visited the backfill site(s) to inspect and review the conditions of the premises before submitting a bid. The signature page requires bidders to provide their full legal business name, Federal Employer ID number, total number of employees, and the number of employees residing in Detroit. Only authorized officers of the firm, or individuals with authority to commit the firm to the bid and listed on the Certificate of Authority, may sign the document.

Any assignment of the Purchase Order or Contract, or monies due therefrom, requires prior approval from the Chief Procurement Officer, the Chief Financial Officer, and in some cases the City Council. Bidders must provide contact information including email address, telephone number, and cell phone number, along with the title and position of the authorized signatory and an alternate company contact. The Purchase Order will be issued and payment will be made only in the name of the bidding entity as printed on the signature page.

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Text version

Effective 2.25.2020

BACKFILL SIGNATURE PAGE

ASSIGNMENT: A Contractor shall not assign any Purchase Order or Contract or any monies due therefrom without prior approval of the Chief Procurement Officer, the Chief Financial Officer and in some cases the City Council. Contact the Contracting and Procurement Specialist for proper procedure.

IN THE FURTHER DESCRIPTION OF THIS PROPOSAL, WE SUBMIT INFORMATION IDENTIFIED AS

FOLLOWS:

BIDDING UNDER THE NAME OF:

(PRINT FULL LEGAL NAME)

(PURCHASE ORDER WILL BE ISSUED AND PAYMENT WILL BE MADE ONLY IN THE NAME ABOVE)

FEDERAL EMPLOYER ID #:

Total Number of Employees: Number of Employees that reside in the City of Detroit:

IF NOT SIGNED BY OFFICER OF FIRM, THE PERSON SIGNING MUST HAVE AUTHORITY TO COMMIT THE FIRM TO THIS BID. THE INDIVIDUAL NAME MUST ALSO BE LISTED ON THE CERTIFICATE OF

AUTHORITY.

I ATTEST THAT OUR ORGANIZATION HAS VISITED THE BACKFILL SITE(S) TO INSPECT AND

REVIEW THE CONDITIONS OF THE PREMISES BEFORE SUBMITTING A BID FOR THE PROPERTY(S)

ASSOCIATED WITH THIS SOLICITATION.

E-MAIL: AUTHORIZED SIGNATURE:

DATE SIGNED:

TELEPHONE NO. PRINTED

CELL PHONE NUMBER:. TITLE/POSITION

ALTERNATE COMPANY CONTACT

File details come from the government source that posted it. Updated .